Facility Evaluation Report

Licensing Program Analyst (LPA) Mia Lankford arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff Elizabeth Mahmoud and granted entry. LPA began introduction and the reason for the visit. Administrator Rabah Mahmoud joined us. Upon arrival LPA learned that four (4) clients that reside at this facility and there are currently one (1) caregiver present and Administrator. There is an Infection Control Plan on file.

LPA began review of client records. Four (4) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification.

LPA began review of employee records- Two (2) records were reviewed. LPA reviewed employee records for first aid certification which House Manager Elizabeth Mahmoud does not have, she has criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 12/20/2026.

Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food